Provider Demographics
NPI:1558383026
Name:TATE, LEA ALMOND (MSW, ACSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:LEA
Middle Name:ALMOND
Last Name:TATE
Suffix:
Gender:F
Credentials:MSW, ACSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 LAUREL HAVEN ROAD
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:NC
Mailing Address - Zip Code:28730
Mailing Address - Country:US
Mailing Address - Phone:828-606-8478
Mailing Address - Fax:
Practice Address - Street 1:136 LAUREL HAVEN ROAD
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:NC
Practice Address - Zip Code:28730
Practice Address - Country:US
Practice Address - Phone:828-606-8478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC000119101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional